Reimbursement

MaineCare Benefits

The application of topical fluoride is covered for members under the age of 21 with moderate to high caries risk. MaineCare will cover 2 applications per calendar year. For members with high caries rates or new decay within 18 months as documented in member's record, Maine Care will cover up to 3 applications per year.
Instructions on billing MaineCare

Employers in Maine Providing Fluoride Varnish Benefit in their Medical Plans

The following employers have agreed  to cover fluoride varnish as a medical benefit for children under the age of 42 months.  Medical providers can be reimbursed twice per calendar year. 

Employer Effective Date
MaineHealth January 2010
EMHS January  2011
MaineGeneral Health January 2011
Maine Education Benefit Trust July 2011
Bath Iron Works January 2012
Mercy Hospital January 2012
Jackson Laboratories January 2012
Bowdoin College January 2012
L.L Bean January 2012